影响足月新生儿生后24h动态微量血糖水平的相关因素分析  

Analysis of Related Factors Affecting Dynamic Trace Blood Glucose Level 24-hour After Mature Newborn Neonates Birth

作　　者：陈泽杰 李莉 余佳佳 

机构地区：[1]潮州医院儿科,广东潮州521011

出　　处：《黑龙江医学》2015年第1期11-13,共3页Heilongjiang Medical Journal

摘　　要：目的：探讨分析影响足月新生儿出生后24 h动态微量血糖水平的相关因素。方法回顾性分析我院妇产科2013－01～2013－12间分娩的136例足月新生儿，监测孕妇与新生儿24 h动态血糖并进行分析。结果经阴道分娩组新生儿出生后24 h内各时刻微量血糖水平一直明显高于剖宫产组，而在剖宫产中，择期组新生儿出生后0.5h微量血糖明显高于急诊组，2h、6h时微量血糖水平则明显低于急诊组。经阴道分娩组低血糖发生率明显低于剖宫产组，差异有统计学意义（ P＜0.05）。结论剖宫产的足月新生儿出生后24 h动态微量血糖波动较经阴道分娩新生儿大，较易发生低血糖事件，并且新生儿出生前羊水异常、脐带绕颈也相对增加产后的低血糖风险，需要及时监测并纠正，减少并发症的损害。Objective To explore related factors affecting dynamic trace blood glucose level 24-hour after mature newborn neonates birth.Methods Retrospective analysis of 136 cases of full-term newborns in the obstetrics of the hospital from Jan , 2013 to Dec, 2013 was done , and 24-hour dynamic trace blood glucose of pregnant women was analyzed.Results After neonatal vaginal delivery 24 h after birth, trace blood sugar levels each time have been significantly higher than cesarean section group .While in the cesarean section group , neonatal elective cesarean section group 0.5h after birth, blood glucose was significantly higher than that of the emergency group.In 2h and 6h, blood glucose level was significantly lower than the emergency group.The incidence of hypoglycemia in vaginal delivery group was sig-nificantly lower than that of cesarean section group , and the difference was statistically significant （ P〈0.05 ）.Conclusion Dynamic blood glucose fluctuation in cesarean newborns 24h is larger than vaginal delivery neonates , and is easy to hypoglycemia events.And the birth of abnormal amniotic fluid and umbilical cord around the neck relatively increases the postpartum risk of hypoglycemia .It needs to be moni-tored and corrected , to reduce the complications of damage.

关 键 词：足月新生儿 微量血糖 剖宫产 

分 类 号：R722.1[医药卫生—儿科]